| NPI | 1467535450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRAN R PATEL Owner 304-766-4300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WV 17053) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 18983) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-12-19 |